| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.50 | $79.00 | $98.25 | |
Aetna
| Professional | $11.09 | $12.44 | $32.04 | |
CareFirst
| Professional | $10.59 | $11.77 | $16.32 | |
Cigna
| Facility | $8.02 | $11.04 | $21.75 | |
Cigna
| Professional | $8.02 | $12.74 | $24.26 | |
Kaiser Permanente
| Professional | $16.80 | $21.01 | $25.22 | |
United
| Professional | $6.75 | $8.41 | $14.01 | |
Wellpoint
| Professional | $6.56 | $8.41 | $13.36 |